_  Effects of     M.     ^     „
    Common  Air  Pollutants
     RESPIRATORY  EFFECTS
                                              CARDIOVASCULAR rFTHCTS
                  Symptoms:
                  •Cough
                   Phlegm
                   Chest tightness
             Wheezing
             Shortness of breath
  Alveoli
 filled with
 trapped air
                  Increased sickness and
                  premature death from:
                   Asthma
                   Bronchitis (acute or chronic)
                   Emphysema
                   Pneumonia

                  Development of new disease
                   Chronic bronchitis
                   Premature aging of the lungs


                  How Pollutants

                  Cause Symptoms
                 Effects on Lung Function
Narrowing of airways
(bronchoconstriction)
Decreased air flow

                               Symptoms:
                               • Chest tightness
                               • Chest pain (angina)
                               • Palpitations
                               • Shortness of breath
                               • Unusual fatigue

                               Increased sickness and
                               premature death from:
                               • Coronary artery disease
                               •Abnormal heart rhythms
                               • Congestive heart failure
                                               How Pollutants May
                                               Cause Symptoms
                                                                                     Normal heart rhythm
   Airway Inflammation
   Influx of white blood cells
   Abnormal mucus production
   Fluid accumulation and
   swelling (edema)
   Death and shedding of
   cells that line airways
                     Airway lining
                              Mucus
     White
    blood cell
              S5V.VS!
                                                                                     Abnormal heart rhythm
                                                                                  Effects on Cardiovascular Function
                              • Low oxygenation of red blood cells
                              •Abnormal heart rhythms
                              •Altered autonomic nervous system
                               control of the heart
                                HVAT:
          Increased Susceptibility to Respiratory Infection
            Normal
            Lung with
         respiratory infection
                                                       Vascular Inflammation
                                                       •Increased risk of
                                                        blood clot formation
                                                       • Narrowing of vessels
                                                        (vasoconstriction)
                                                       • Increased risk of
                                                        atherosclerotic
                                                        plaque rupture
                                                          Normal
                               Rupture-prone
                               vulnerable
                                plaque
      Reduce your risk by using the Air Quality Index (AQI) to plan outdoor activities - www.airnow.gov
      AQI Levels of Health Concern
             Good
            Moderate

                     AQI Values
                       0-50
What Action Should People Take?
Enjoy Activities
          Unhealthy for
         Sensitive Groups
          Very Unhealthy
1 51-100
101-150
1 151-200
H
1 201-300
People unusually sensitive to air pollution:
Plan strenuous outside activities when air quality is better
Sensitive Groups: Cut back or reschedule strenuous outside activities
Particle Pollution: People with heart or lung disease (including diabetics), older adults, and children
Ozone: Active children and adults and people with lung disease
Sulfur Dioxide: Active children and adults with asthma
Carbon Monoxide: People with heart disease and possibly fetuses and infants
Everyone: Cut back or reschedule strenuous outside activities
Sensitive groups: Avoid strenuous outside activities
Everyone: Significantly cut back on outside physical activities ^^p^E^^ipi«Bcaon
Sensitive groups: Avoid all outside physical activities EPA 452/p 04 001
Netter illustrations used with permission from Icon Learning Systems, a division of MediMedia USA, Inc. All rights reserved.

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